Lima Arizona Election Form for Continuation of Benefits — COBRA is a crucial document that allows individuals in Lima, Arizona to continue their health insurance benefits after experiencing a qualifying event that would result in loss of coverage. This form is specifically designed to comply with the Consolidated Omnibus Budget Reconciliation Act (COBRA), which mandates employers with 20 or more employees to offer continuation of group health coverage. The Lima Arizona Election Form for Continuation of Benefits — COBRA is necessary to inform the employer of the individual's decision to continue their health insurance under the COBRA provisions. It provides essential information such as personal details, employer information, qualifying event details, and the period for which the coverage is requested. Keywords: Lima Arizona, Election Form, Continuation of Benefits, COBRA, health insurance, qualifying event, coverage, Consolidated Omnibus Budget Reconciliation Act, group health coverage, employer, personal details, employer information, period, coverage request. There are no specific mentions of different types of Lima Arizona Election Form for Continuation of Benefits — COBRA. However, it is important to note that different companies or employers might have their own variations or additions to the form, ensuring compliance with legal requirements while also including any additional necessary information specific to their organization.